Nursing Journal Volume 10.
Issue 2.
Page 146 Ae 152 e-ISSN: 2354-6050 https://ejurnal.
id/index.
php/JKep DOI: https://doi.
org/10.
32668/jkep.
THE EFFECT OF MENSTRUAL EDUCATION ON READINESS TO FACE
MENARCHE
Abstract 1st Choiru Nissatyas Cahyanie*1 Menarche is the first menstruation that occurs in early adolescence.
Based on data from the Indonesian Ministry of Health, the incidence of menarche in Indonesia is around 12.
4 years.
However, most adolescent girls lack understanding of how to maintain hygiene during menstruation.
This unpreparedness can lead to anxiety and health problems.
One of the effective educational methods is to use role play techniques to improve the readiness of adolescent girls in facing menarche.
This study aims to determine the effect of menstrual education on readiness to face menarche in adolescent girls.
This study used a pre-experiment design with a one group pre-test post-test The sample consisted of 30 female students at SDN 02 Banjarharjo who were given education about menstruation using the role play method.
Readiness to face menarche was measured before and after the education was Before education, most schoolgirls .
3%) had an unprepared level of readiness.
After being given education, all female students showed readiness .
%).
The results of statistical analysis showed a p-value of 000, which indicated a significant difference between the level of readiness before and after menstrual education.
Menstrual education using the role play method was proven effective in improving the readiness of adolescent girls to face menarche.
2nd Heni Purwaningsih 3rd Sulastri Bachelor of Nursing Study Program.
Faculty of Health Sciences.
PKU Muhammadiyah Surakarta Institute of Science and Health Technology.
Surakarta, central Java.
Indonesia *email: choirunissa203@gmail.
Keywords:
Education Menarche Menstruation Readiness Roleplay Received: March 2025 Accepted: July 2025 Published: November 2025 A year The Authors.
Published by Published Jurusan Keperawatan.
Politeknik Kesehatan Kemenkes Jakarta i.
This is Open Access article under the CC-BY-SA License .
ttp://creativecommons.
org/licenses/by-sa/4.
0/).
DOI:
https://doi.
org/10.
32668/jkep.
showed that 15 out of 18 students had a poor understanding of INTRODUCTION Menarche is the first menstrual cycle, typically occurring in early adolescence before the start of the reproductive phase.
According to WHO (World Health Organizatio.
The first menstruation in females typically occurs between the ages of 10 According to data from the Ministry of Health of the Republic of Indonesia in 2018, the average age of menarche in menstrual hygiene.
Lack of understanding about the first menstruation in adolescent girls can affect the extent to which they are ready to face menarche.
This can cause them to have unusual fantasies and feel guilty, and attribute all of these things to problems with reproductive organs and the menstrual process.
Indonesia is 12.
4 years, with 60% of girls reaching it at that age.
The results of community service conducted by Purwaningsih.
About 2.
6% of children experience menarche between the ages it was found that before menstrual hygiene management of 9 and 10, 30.
3% at ages 11 to 12, and 30% at age 13.
The education was carried out, most of the female students had a .
remaining girls experience menarche after age 13 Most adolescent girls who have experienced menarche still lack understanding about how to maintain hygiene during The lack of understanding of adolescents about menarche can be caused by several factors such as age, level of knowledge, the role of parents, access to menstrual equipment, environment and culture.
The results of research by Sri poor category of 63.
This can cause unpreparedness for menarche, causing fear and anxiety.
This can affect personal hygiene during menstruation and potentially cause infections in the reproductive organs.
The respondents in this study were elementary school students from grades 4, 5, and 6, with ages ranging from 9 to 12 years, and the majority were 11 years old.
The objective of the research was to evaluate the effect of menstrual education delivered through a role-play method on JKEP (Jurnal Keperawata.
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November 2025.
Page 146 Ae 152 e-ISSN: 2354-6050 studentsAo readiness to face menarche, which primarily targets Based on preliminary studies conducted at SDN 02 Banjarharjo the affective domain .
motional readiness and reduced anxiet.
, by interviewing teachers, it was found that female students had while also improving cognitive understanding and psychomotor never been given education related to readiness to face skills such as practicing the use of sanitary pads.
The instrument menarche either from the school, puskesmas or other partners.
used in this study was an adopted questionnaire, developed by was found that 25th grade students and 66th grade students had Jannah, not a self-constructed tool.
Additionally, the references experienced menarche.
The results of interviews conducted need to follow the appropriate journal guideline for APA with female students who have not had menarche found that the formatting, ensuring consistency in year, title style, journal students did not know if they had to prepare for menarche and name, volume/issue, and AuAvailable from:Ay placement had never received education related to menstruation before.
To overcome the unpreparedness of adolescents in facing menarche, health education can be carried out with the aim of increasing, improving, and maintaining health status and Meanwhile, the results of interviews with students who have experienced menarche found that students did not prepare for menarche and felt confused when they got menarche.
The World Health Organization emphasizes the One of the efforts to overcome the impact of unpreparedness to importance of reproductive health education for younger face menarche is to conduct education with the roleplay method adolescents, namely the age group of 10 to 14 years.
using print and electronic media which aims to improve the this age is a very important period for building a strong readiness of adolescent girls to face menarche.
foundation in adolescents, which will affect their ability to make METHODS wise decisions in their behavior .
This study employed a quantitative approach with a preOne of the methods in education is role play.
Role play is one of the educational methods and an offshoot of simulation Each participant who participates in this role play method must position themselves as another person.
method aims to try to understand what other people think and do.
The advantages of the role play method are that it allows students to learn actively by acting out the material discussed, increasing motivation, enthusiasm, and a sense of community, changing the classroom atmosphere to be more dynamic and full of enthusiasm, leaving a deep impression that lasts longer in the memory of students.
Media that can be used in the role experimental design, using a one-group pre-test and post-test method to assess the impact of menstrual education on the readiness for menarche among female students at SDN 02 Banjarharjo.
The research was conducted on December 9, 2024, at SDN 02 Banjarharjo.
The sampling method used was nonprobability sampling with a saturated sampling technique, involving a total of 30 respondents.
The inclusion criteria were female students who agreed to participate in the study and had not yet experienced menarche.
The exclusion criteria included students who were unwilling to participate, those who were absent, or those who were sick or had excused absences.
play method are print media and electronic media that can help stimulate education.
The variables in this study consisted of menarche education as the independent variable and readiness to face menarche as the The researcher chose SDN 02 Banjarharjo as the research location because demographically.
Banjarharjo Village is on the outskirts of the city.
The characteristics of parents of students at SDN 02 Banjarharjo mostly work as farmers or factory laborers.
According to Khusaini's research, parents who live in rural areas tend to provide less attention, motivation, guidance and direction to their children, both in academic and non-academic aspects.
dependent variable.
Menstrual used roleplay method education was given in 120 minutes, which began with a pre-test using a menarche readiness questionnaire.
Next, an intervention was conducted which included the delivery of material on the menstrual cycle, menstrual disorders, physical changes, and menstrual hygiene management for 30 minutes, followed by an interactive discussion for 15 minutes.
To break the ice, ice breaking was conducted for 10 minutes, and then the JKEP (Jurnal Keperawata.
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for 30 minutes.
The activity ended with a post-test using the Based on the questionnaire, students are more likely to same questionnaire as the pre-test to measure changes in seek information about menarche from friends rather participants' readiness.
than parents.
Therefore, menstrual education at this age is very important to enhance readiness, knowledge, and The measuring instrument used in this study was a readiness good habits in maintaining reproductive health during questionnaire developed by Jannah in a study entitled The menstruation to prevent misinformation.
Relationship between Level of Knowledge about Menstruation Table 2.
The distribution of respondents based on BMI Characteristic Frequency Percentage .
(%) BMI
Underweight
Normal
56,7 %
Overweight
3,3 %
Total and Readiness to Face Menarche.
This questionnaire consists of 22 questions with two answer options, namely true / not true or yes / no.
According to the assessment results, respondents were classified into two categories.
Those with a score below 60% were considered unprepared, while those with a score between 61% and 100% were considered ready.
Based on Table 2, it can be seen that the majority of This study used data analysis with the Wilcoxon Signed Rank respondents have a normal BMI, which includes 17 Test to test the significant difference between respondents' individuals, or 56.
7% of the total respondents.
BMI
readiness before and after being given menstrual education.
This affects the timing of menarche.
Children with higher research has obtained ethical approval with number BMI tend to experience earlier menarche, while those 480/LPPM/ITS.
PKU/XI/2024, which ensures that the rights of with lower BMI often experience delayed menarche.
respondents are well protected during the research.
This is related to body fat levels, which influence leptin
RESULTS AND DISCUSSION
The study involved 30 students as respondents.
The Children with low BMI may lack enough body fat to demographic characteristics of the respondents analyzed support hormone production, while high BMI supports include age.
BMI, parental education, and parental occupation, reproductive hormone activity.
Therefore, maintaining a as presented in the tables below.
normal BMI through a healthy diet and balanced Table 1.
The distribution of respondents based on age Characteristic Frequency Percentage .
(%) Age
46,7 %
3,3 %
Total physical activity is crucial to support preparedness for menarche in pre-adolescent children.
Table 3.
The distribution of respondents based on parental Characteristic Frequency Percentage .
(%) Parental education Elementary school
3,3 %
Junior high school
33,3 %
High school/vocational 53,3 % Bachelor degree Total Based on Table 1, the characteristics of the respondents by age show that the majority of respondents are in the 11-year-old age group, with a proportion of 46.
According to Nurfaziah Rumiyandini.
Based on Table 3, the respondent characteristics based menarche.
on parental education show that the majority of parents Unpreparedness can lead to anxiety, which impacts have completed high school/vocational school, with a total of 16 .
3%).
The education level of parents.
JKEP (Jurnal Keperawata.
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Page 146 Ae 152 especially mothers, influences a girl's readiness to face menarche.
Parents with higher education levels are more likely to understand the importance of menstrual education and are more open to discussing reproductive health topics.
They provide accurate information and support their children by seeking valid sources.
e-ISSN: 2354-6050 Table 5.
The distribution of readiness to face menarche before and after menstruation education.
Readiness Pre-test Post-test Not ready Total According to Table 5, before the menstrual education On the other hand, parents with lower education levels was provided, most respondents .
3%) were not may provide less education on this topic, causing prepared to face menarche.
As explained by Nurfazriah children to feel anxious or fearful about facing and Rumiyandini, this lack of preparedness can be This is evident from the fact that many attributed to factors such as limited knowledge about students who are not ready for menarche have parents menarche, parenting style, age, sources of information, access to menstrual products, and cultural influences.
involvement is crucial for a child's readiness to face Poor knowledge often leads students to feel anxious.
Active .
confused, or scared when facing the physiological Table 4.
The distribution of respondents based on parental Characteristic Frequency Percentage .
(%) Parental occupation Civil servant
3,3 %
Private employee 43,3 % Entrepreneur
6,7 %
Farmer
36,7 %
Merchant Total changes that occur during menarche, which can result in poor personal hygiene during menarche and may potentially cause infections in the reproductive organs.
This statement aligns with the research of Ningru.
This condition highlights the importance of educational interventions as a step to address this knowledge gap.
After menstruation education was provided, the level of readiness to face menarche significantly increased, with Based on Table 2, the characteristics of the respondents all respondents .
%) in the "ready" category.
This based on their parents' occupation show that the majority education, as in the study by Widayati, plays a crucial of parents are private employees, with 13 .
3%) of role in enhancing girls' knowledge about menarche.
ParentAos occupations influence the family's including understanding bodily changes, maintaining socioeconomic status, which affects the child's well- being, including their nutritional .
Parents with stable anxiety The structured and interactive education jobs are generally able to provide nutritious food, access provided offered a deeper understanding, more relevant to healthcare, and education, all of which support the to the students' needs, making them more confident and growth and development of the child, including timely prepared to face menarche.
sexual maturation.
On the other hand, families with lower incomes or unstable jobs are at risk of facing nutritional issues, which may lead to delayed menarche.
The type of .
Table 6.
The effect of menstruation education on readiness to face menarche Mean
0,47
1,00
Pre-test
Post-test
0,000
Min Max p-value 0,000 parents' occupation also affects the time available to Therefore, educational support for families, especially those facing time or financial challenges, is important for preparing children for menarche.
Table 6 illustrates the results of the analysis of the impact of menstruation education on readiness for The study results showed a significant JKEP (Jurnal Keperawata.
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The average readiness score of showed readiness.
The statistical analysis results with a p-value respondents increased from 0.
47 in the pre-test to 1.
000 confirm that this difference is significant.
in the post-test.
The standard deviation in the pre-test
ACKNOWLEDGMENT